Article

Shoulder disorders are a common musculoskeletal problem causing pain and
functional loss. Traditionally, diagnostic categories are based on a
pathoanatomic medical model aimed at identifying the pathologic tissues. However,
the pathoanatomic model may not provide diagnostic categories that effectively
guide treatment decision making in rehabilitation. An expanded classification
system is proposed that includes the pathoanatomic diagnosis and a rehabilitation
classification based on tissue irritability and identified impairments. For the
rehabilitation classification, 3 levels of irritability are proposed and defined,
with corresponding strategies guiding intensity of treatment based on the
physical stress theory. Common impairments are identified and are used to guide
specific intervention tactics with varying levels of intensity. The proposed
system is conceptual and needs to be tested for reliability and validity. This
classification system may be useful clinically for guiding rehabilitation
intervention and provides a potential method of identifying relevant subgroups in
future research studies. Although the system was developed for and applied to
shoulder disorders, it may be applicable to classification and rehabilitation of
musculoskeletal disorders in other body regions.
CI - (c) 2015 American Physical Therapy Association.

Langue : ANGLAIS